MIDWEST MEDICAL CENTER (NPI# 1295286045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295286045 |
| Entity Type | Organization |
| Organization Name | MIDWEST MEDICAL CENTER |
| Practice Address |
117 N Main St Elizabeth IL 61028-8800 |
| Mailing Address |
1 Medical Center Dr Galena IL 61036-8118 |
| Practice Telephone | 8158582238 |
| Practice Fax Number | 8158582239 |
| Mailing Telephone | 8157771340 |
| Mailing Fax Number | 8157772560 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | TRACY L BAUER (PRESIDENT/CEO) |
| Authorized Official Telephone | 8157771340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295126944 | Midwest Medical Center | Clinic/Center | 117 N Main St, Elizabeth, IL 61028-8800 | 2015-02-16 |
| 1154619625 | Midwest Medical Center | Clinic/Center | 1 Medical Center Dr, Galena, IL 61036-8118 | 2011-07-18 |
| 1487978227 | Midwest Medical Center | Skilled Nursing Facility | 215 Summit St, Galena, IL 61036-1635 | 2010-03-23 |
| 1952409765 | Midwest Medical Center | General Acute Care Hospital | One Medical Center Drive, Galena, IL 61036-1635 | 2006-09-20 |
| Street Address |
117 N MAIN ST |
| City | ELIZABETH |
| State | IL |
| Zip Code | 61028-8800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295126944 | Midwest Medical Center | Clinic/Center | 117 N Main St, Elizabeth, IL 61028-8800 | 2015-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093232159 | Brittney Gerstner | Psychologist | 310 N West St., Elizabeth, IL 61028 | 2017-08-29 |
| 1255857207 | Christina Edler | Psychologist | 310 N West St, Elizabeth, IL 61028-8017 | 2017-08-21 |
| 1639663446 | Elizabeth Pharmacy, Inc | Pharmacy | 218 N Main St, Elizabeth, IL 61028-8803 | 2018-06-15 |
| 1619381068 | Kristina Kelzer | Speech-Language Pathologist | 422 S Main St, Elizabeth, IL 61028-9504 | 2014-06-13 |
| 1629276225 | Elizabeth Nursing Home Corp | Nursing Facility/Intermediate Care Facility | 540 Pleasant St, Elizabeth, IL 61028-9508 | 2007-07-05 |
| 1245224138 | Elizabeth Community Ambulance Service | Ambulance | 111 E Myrtle St, Elizabeth, IL 61028-9794 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1295336824 | Rebecca G Oliveira | Physical Therapist | 63 Elmora Ave, Elizabeth, NJ 07202-1651 | 2020-11-02 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1396344511 | Robin Hoover | Technician | 56 Pioneer Cir Apt 301, Elizabeth, WV 26143-0087 | 2020-10-19 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1366057978 | Betty Jeanellan Green | Technician | 157 Railroad Dr, Elizabeth, WV 26143-5107 | 2020-09-10 |
| 1134734627 | Sheila Gibson | Technician | 68 W Crystal Lake Way, Elizabeth, WV 26143-5776 | 2020-09-10 |
| 1295347235 | Linda Mae Sams | Technician | 88 Churchill St., Elizabeth, WV 26143 | 2020-08-20 |
| 1265043012 | Balancerehab and Physical Therapy LLC | Physical Therapist | 406a N Broad St, Elizabeth, NJ 07208-3365 | 2020-08-14 |
| Find all providers in ELIZABETH | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.